Organization

Class 'A' Clinic Llc

May also be knows as Class 'A' Clinic Llc

Adult Medicine Physician in Newport, TN(View on Map)

Legal Business Name

Class 'A' Clinic Llc

Also Known As

Class 'A' Clinic Llc

NPI Number

1073095154

NPI Type

Organization

Enumeration Date

09/05/2018

Specialties

(Taxonomies)

Code

207QA0505X
261Q00000X

Primary Taxonomy

Yes
No

Licenses

State

Tennessee

License Number

16835

Contact
Information

Purpose

Mailing
Location

Address

157 HIGHWAY 25 E
157 HIGHWAY 25 E

City

Newport
Newport

State

TN
TN

Postal Code

37821-8157
37821-8157

Country

US
US

Telephone Number

(423) 720-9111
(423) 720-9111

Authorized Official

Name

Charlene Matthews

Title or Position

PRACTITIONER

Telephone Number

(423) 720-9111

Identifiers

Identifier

Q038489

Identifier State

TN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/04/2020

Provider Address